Individual
MISS MARIANNA NASIMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SP.ED
Contact information
Practice address
6640 THORNTON PL, REGO PARK, NY 11374-5144
(718) 551-1495
Mailing address
6640 THORNTON PL, REGO PARK, NY 11374-5144
(718) 551-1495
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1418288
NY
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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